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2821 Grove Dr - BR18-004666 - SHEDmay,' CITY OF DEC 3 20 SXNFuRDPERMIT APPLICATION tr, ji> BUILDING DIVISION BY:__-- zcation No*. Documented Construction Value: $ 4/0 © 0- Job Address: v ove d '" S g ,i ^ 3 Historic District: Yes No Parcel ID: Type of Work: New Addition Alteration Repair Description of Work: 13N Plan Review Contact Person: _r4 a Phone: 7 r7 — tlll E"A 1#aax: Residential PfCommercial Demo Change of Use Move v 0 F C__.> f Title: mail: J aCivX'fV Pro erty Owner Information Name Je4 C I tylc G u Phone: % S%' Street: o? l} ] /Jy`'c c Resident of property? City, State Zip: i Contractor Information - Name . ` Phone: '/ d7 S 3 `Z Street: _ City, State Zip: , (' Name: Street: City, St, Zip: Bonding Company: Address: Fax: State License No.: Architect/ Engineer Information Phone: Fax: E- mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS -TO YOUR PROPERTY: A NOTICE OF COMMENCEMENT -MUST BE -RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING; CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permitand that all work will be performed to meet standards of alllaws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date ofapplication and the code in effect as of that date: 6u' Edition (2017) Florida Building Code NOTICE: In addition to the requirements ofthis permit, there maybe additional restrictions applicable to this property that maybe found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. r Acceptance of permit is verification that I will notify the owner of the property ofthe requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time ofpermit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time ofsubmittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured offthe executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT. I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. i 4r0w.ner/Agert Date Signature of Contractor/Agent Date Pi er/Agent's Name . I Print Contractor/Agents Name j L Signature ofNo-St teofp}orida Signature ofNotary -State ofFlorida Date os.sYPog,• ANNETTE BPM Notary Public State of Florida Commission # GG 060623 i',,,OFF o?My Comm. Expires Jan 16, 2018 Owner/Age .; Contractor/Agent is Personally Known to Me or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # ofHeads Fire Alarm Permit: Yes No APPROVALS: ZONING: a• 3• `3 UTILITIES: WASTEWATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Ok to install t'V x 1.2 ( /.240 sgft) shed as shown on plan. Meets area and dimension regulations for the SO --I zoning district. Shed must be a minimum of Zft from the side property line and a minimum of 0 rom the rear property line. is 0 0 I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern owner -builders as well as employers. I alsoJunderstandthattheconstructionmustcomplywithallapplicablelaws, ordinances, building codes, and zoning regulations. J I am of aware of construction practices and I have access to the Florida Building Codes. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, the Florida Department of Financial Services, and the Florida Department of Revenue. I also understand that I may contact the Florida Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for more information about licensed contractors. I am aware of, and consent to, an owner -builder building permit applied for in my name and understand that I am the party legally and financially responsible for the proposed construction activity at the address listed below. I agree to notify the building department immediately of any additions, deletions, or changes to any of the information that 1 have provided on this disclosure or in the permit application package. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Construction Industry Licensing Board, the Department of Business and Professional Regulation and the building department may be unable to assist you with any financial loss that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liabfe for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is property licensed and the status of the contractor's workers' compensation coverage. Property Address: rJ e "Y' -L n 4yd FL • 1 _ 773 I, kL + /C1 n.a do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed and agree to the conditions Deoified above. ure of Owner -Builder Form of Identification Must be Photo ID) Date 2- 3-i y A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. Rev. 9.14.2009 I- I J 11 Jd 11 OWNER BUILDER STATEMENT/AFFIDAVIT Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) I understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers on all permit and contracts. I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within in I year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates this exemption. fM I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise JI persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the licenses required by law and by city ordinance. I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on my building who Is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 CITY a 1 F. FIRE DEPARTMENT Building & Fire Prevention Division SHED I GAZEBO PERMIT GUIDELINES All permit application packages must be complete prior to acceptance. You must check each box to the left or indicate n/a on this submittal. A complete application package shall include the following: Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. Copy of a contract, signed by the contractor and the property owner, indicating the documented construction value of the project. Copy of applicable contractor's license issued by the State of Florida (if contractor is applicant). A site specific notarized power of attorney shall be required from the licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. Certificate of insurance indicating worker's compensation insurance coverage and naming the City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of Florida (must be submitted with each application if contractor is the applicant). Owner Builder Statement / Affidavit (if owner is applicant). Two (2) site plans indicating proposed location and distances to property line(s). Shed 10'x 12'or less: Signed and notarized Shed Affidavit Gazebo 10' x 12' or less: Two (2) copies of Construction plans (legibly hand -drawn or drafted) indicating in detail how the structure will be built. All framing members and sizes as well as framing connectors must be specified. Foundation detail — how will gazebo be secured to the foundation Shed or Gazebo greater than 10' x 12': Two (2) sets signed and sealed engineered drawings. Wind design data required on drawings per FBC 1603.1.4 to meet 129 mph ultimate design wind speed for risk category I buildings. Completed and signed Statewide Product Approval Specification Form. Two (2) copies of manufacturer's installation instructions. Florida State Department of Community Affairs Approved Building. These guidelines were compiled to assist the applicant in preparing a Shed / Gazebo permit application and may not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements. Effective: August 1, 2017 I 1 370 Waymont Court Lake Mary, FL 32746 • Voice 407.688.7631 • Fax 407,688.7691 • frontdesk@swerdloffperry.com Legal Description Lot 11, Block G, WOODMERE PARK 2ND REPLAT, according to the plat thereof, as recorded in Plat Book 13, Page(s) 73, of the Public Records of Seminole Counly, FL. Community number: 120294 Panel: 0070 Suffix: F F.I.R.M. Date: 912812007Flood Zones X Date of field work; 212412017 Completion Date: 212712017 Certified to: Jacinto Maldonado Torres: Equity Title, LLC, Ohl Republic National Title Insurance Company: Caliber Home Loans, Inc„ its successors and/or assigns. ADJOINING PARCEL ID: 06-20- 31-300-0140- 000 FIR 1/2_ 6'WF — 4.4 ON — LOT 10 BLOCK G N O N C) 15. LLJ C T_ N 00° 04'04" E 61.02'(M) NORTH 61.00'(P) FENCE ENDS 10' D.E. '? r 3.2' , ON 8' ON METAL SHED ON CONC LOT 11 w z BLOCK G in o: 2'X2' CONC. , U j 8' CONC WALL Q LIJ 00 ri E OR© X = ELECTRICAL FACILITY M M This survey or the copies thereof are not valid without the signature and the original raised seal of a Florida licensed' surveyor and mapper. iz M.l o ONE STORY N RESIDENCE N u.i CONC Do to 0 0 FIR 1 /2" FENCE ENDS tO 14.5' OFF 2' CURB 6' R/W ( IMPROVED) N 00°01'58" E 61.00'(M) NORTH 61.00'(P) FIR 1/2" 3.2' ON V. r , I--O 0. 2' N LOT 12. R1 nrK r, 7.37' LOCATION SKETCH NOT TO SCALE PER PLAT SCALE: 1 "= 30' r N 00'02'01" E 61.07'(M) FIR 1/2" NORTH 61. 00'(P) SWCORNER0LOT17BLOCKG e; JCE ENDS 9' OFF v_ 0 d Property Address: 2821Grove Drive Sanford, FL 32773 SL 173921 1, SCPA Parcel View: 06-20-31-505-OG00-0110 Page 1 of 2 f Psal.CFA MUR w 4=C<xxvrY,rLorrun Parcel Information Property Record Card Parcel: 06-20-31 505 OG00-0110 Property Address: 2821 GROVE DR SANFORD, FL 32773 m WParcel 06-20-31-505-OG00-0110 Owner(s) Property Address rWES, JACINTO M 2821 GROVE DR SANFORD, FL 32773 Mailing 3427 SADDLE BLVD #181 ORLANDO, FL 32826 Subdivision Name Tax District WOODMERE PARK 2ND REPLAT_ S1-SANFORD DOR Use Code Exemptions 01-SINGLE FAMILY a1 w 4 co 0 j Value Summary Tax Amount without SOH: $1,399.56 2018. Tax Bill Amount $1,399.56 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 11 BLK G WOODMERE PARK 2ND REPLAT PB 13 PG 73 Taxes Taxing Authority Assessment Value Exempt Values^ Taxable Value County General Fund 77,485 0 $77,485 Schools 77,485 Of $77,485 City Sanford 77,485 0 $77,485 SJWM(Saint Johns Water Management) 77,485 0 ( $77,485 County Bonds 77,485 0 1 $77,485 Sales Description Date Book Page Amount Qualified VaGlmp WARRANTY DEED 3/1/2017 08877 1 1200 102,000 Yes ? Improved 1 -1 WARRANTY DEED WARRANTY DEED 1 9/1/2005 5/1/2004 05971 05317 1448 1221 118 000 55,000 Yes Improved Yes Improved WARRANTY DEED 12/1/1985 01698 1346 1 31,000 Yes Improved SPECIAL WARRANTY DEED i 1/1/1977 01148 0854 17,500 No Improved Find Comparable Sales Land Method Frontage Depth Units Umts Price Land Value FRONT FOOT & DEPTH t t 61.00 112.00 = 1 $320.00 $17,178 Building Information Is Bed/Bath count incorrect? Click Here. Description Year Built Fixtures 1BedLBth LEase Area Total SF Living SF Ext Wall Adj ValueI Repl Value AppendagesActual/Effective http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=0620315050G000110 12/3/2018 Grant Maloyy, Clerk Of The Circuit Court & Comptroller Seminole County, FLInst #2018135405 Book:9257 Page:801; (1 PAGES) RCD:.12/3/2018 4:03:33 PM ti,r iRECFEE $10.00 CERTiREDCQPr' CRAN•. NA1A[(w CLERK 0 Ci',C!. 'i ",U;;T,%% J AND THIS INSTRUME7NT PREP]AREyr yyJ SEM1.r11Li ''t ' ' 1' a 71i / '/ G . Qr' t. 11 Name cf cr.ir n. ,„r y. Address•'a 6*L i Tj-- +''f'+`- -- xZ%%+, " BY ____. _._,._______ DEPUTY CLERK NOTICE ----- NOTICE OF COMMENCEMENT 11ly 0 Z State of Florida County of Seminole Permit Number: i 874totDI_ Parcel IDNumber. /Co. s 1, J —0(;vy —CAI v The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter713, Florida Statutes, the following information Is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) ry e- KZ273 GENERAL DESCRI/PTION0 IIMPROVEMEEN/Ty / y f/ 7N/ /.C'/NS Ji'/ C' /O OWNER INFORMATION: / Name:_ 74.. 61 N --/'"tGi Address: 02$ .2 6 +-J v rr d yFee Simple Title Holder (if other than owner) Name: CONTRACTOR: / Name-. / & I JS e Address: t Y 1 1. G % Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served asprovidedbySection713.13(1)(b), Florida Statutes. Name: In addition to h(mself, Owner Designates To receive a copy of theLienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a differentdateisspecified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENTARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDASTATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICEOFCOMMENCEMENTMUSTBERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true tothebofknowledlief. ///p J delC.i 1n /Gi Lr J-") ONmer'sSignature Owner's Printed Name Florida Statute 713.13(1)(9):' The owner must sign the notice of commencement and no one else may be permitted to sign In his or her stead.' State of-IFJoc;Q County ofao le The foregoing instrument was accknowlejd g,,e(dafore me this -3r day of I / c r 20 by 1 A "e I ft f Who is personally known tome Nameofpersonmakingstatement ^ OR who has produced identification type of identification produced: ,fL ANNET- TE,..BLAND Notary Public -State of Florida N • '? oo- PCommission # GG 060623 My Comm. Expires -Jan 16, 2018 otarySipnalure r CITY OF " EC Q 20% Building & Fire Prevention DivisionSkq.FORDfi FIRE DEPARTMENT PY: RESIDENTIAL SHED AFFIDAVIT PERMIT #: 120 SQUARE FEET OR LESS ADDRESS:yp 1 l,.J b -''C- J1r. Al 4 32 27 J j7)&I / j J %7 C, 01 v , HEREBY AFFIRM THAT ALL OF THE FOREGOING INFORMATION IS TRUE AND ACCURATE. THE SHED TO BE INSTALLED ON THE PROPERTY LISTED ABOVE WILL BE REQUIRED TO MEET THE FOLLOWING: INSTALLED TO MEET ALL MANUFACTURER REQUIREMENTS, PROPERLY TIED DOWN PER MANUFACTURER RECOMMENDATIONS, AND LOCATED ON THE PROPERTY IN ACCORDANCE WITH THE APPROVED SITE PLAN. SITE BUILT SHEDS MUST ADHERE TO COMMON CONSTRUCTION PRACTICES. I UNDERSTAND THAT FAILURE TO PROPERLY LOCATE THE SHED IN THE APPROVED LOCATION WILL BE A VIOLATION OF CITY CODES AND COULD RESULT IN THE SHED HAVING TO BE RELOCATED OR TAKEN DOWN AT THE OWNER'S EXPENSE. LICENSED CONTRACTOR LICENSE #: COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: El HOMEOWNER (OWNER/BUILDER) OWNER/BUILDER NAME: U N Cam' J GN G (I r, DATE: 13 Q.. OWNER / BUILDER SIGNATURE: DATE: PLEASE NOTE" THE BUILDING DEPARTMENT WELL NOT CONDUCT ANY INSPECTIONS ON SHEDS SIZED 120 SQUARE FEET OR LESS. THIS AFFIDAVIT MUST BE PROVIDED, SIGNED AND NOTARIZED, AT THE TIME OF PERMIT SUBMITTAL AND WILL SUFFICE AS THE FINAL INSPECTION APPROVAL FOR THE SHED. STATE OF FLORIDA COUNTY OF ,-e. Cr-) I 1j ('7 Sworn to and Subscribed Cedbeforemethis3Ldayof ` C P VC 20 A by: c I oto / `0I J04,6 J4 Who is Personally Known to me or has Produced (type of identification) l `—b Z-- as identification. Signature of Notary Public State of Florida Print/ Type/Stamp Name of Notary Public Effective: August 1, 2017 WAF 370 Waymont Court • Lake Mary, FL 32746 • Voice 407.688.7631 • Fax 407.688.7691 • frontdesk@swerdloffperry.com Legal DescriptionRECORD RDLot 11, Block G, WOODMERE PARK 2ND RE irtirin t iothe plat thereof, as recorded in Plat Book 13, Page 73, of the Public Records of Seminole County, FL. Contmttnity number: 120294 Panel: 0070 Suffix: F F.I.R.M. Date: 912812007 Flood Zone: X Date offield work: 212412017 Completion Date: 212712017 Certified to: Jacinto Maldonado Torres; Equity Title, LLC; Old Republic National Title Insurance Company; Caliber Home Loans, Inc., its successors and/or assigns. ADJOINING PARCEL ID: 06-20- 31-300-0140-000 Ok to install /0x1-2 ( /.Ze)sgft) shed as shown on plan. Meets area and dimension regulations for the 511zoning district. Shed must be a minimum of 7,5' ft from the side property line and a minimum of 0 from the rear property line. 5, 4. LOT 10 BLOCK G N Q N r C:) O W N Ln O t) Ln Q W 00 Z 00004' 04" E 61.02'(M) NORTH 61.00'( P) CE ENDS 10' D.E. 2' ON °i pp P H OHL5UDHL4WIREFENC D 5.8' ON D 0 METAL ON C w 4 U I1 i D LOn15. 49' o 8' CONC n WALL LOT 11 BLOCK G 12• N A/ C .. GONG: • a , 38.6' o ONE STORY N RESIDENCE N; 4 a 20'' COVERE w in CONC L) LL 0 FIR 1 / 2" FENCE ENDS O 14.5' OFF 2' CURB i E ORQx = ELECTRICAL FACILITY Ni This survey or the copies thereof are not valid without the signature and the original raised seal of a Florida licensed surveyor and mapper. 38.6' i R r fF vt:t 4•rt LOCATIONSKETCH NOT TO SCAL£ t (Cal- 10 r Q PER T FIR 1" SCALE: 7 "=30' 3.2'ON 0 44 O i0. 2' N LOT 12 w RI OCK G U z w WX N 7.37' co: a a' CONC DRIVE Z W. M. e Cd y • GROVE / YE 66' R/W ( IMPROVED) N 00'01' 58" E 61.00'(M) NORTH 61.00'( P) G op Q Cn CN QU) W N 00' 02' 01" E 61.07'(M) FIR 1/2" NORTH 61.00'(P) SW CORNER LOT 17 J BLOCK G L) ENCE ENDS 9' OFF O FIR 1 Property Address: 2821 Grove Drive Sanford, FL 32773 Sztrvev ntttnber: SL 173921